At least five people have been killed and several others injured after a gunman opened fire in west Cumbria.
Police say a body, believed to be that of suspect Derrick Bird, has been found in the Boot area of the Lake District.
The first reported fatal shooting was in Whitehaven at 1035 BST, after which the gunman fled east.
A GP in the town of Seascale said he and a colleague had later certified two other people dead.
Dr Barrie Walker said: "The surgery was called and I went out. I've certified one of them dead. My colleague saw another," he said.
"At present there are two people dead and one seriously injured in Seascale. I know one of the victims. She was in the street.
"The second person was on a bicycle and was shot on the bike."
BBC Look North Chief Reporter Chris Stewart said a farmer is also believed to have been killed in the Gosforth area.
Deputy Chief Constable Stuart Hyde said he believed Derrick Bird's body had been found
A major incident has been declared at West Cumberland Hospital, in Whitehaven, where the NHS said all routine operations had been cancelled.
The Accident and Emergency department at the Cumberland Infirmary in Carlisle is also on full incident stand-by, the hospital trust said.
At the start of Prime Minister's Questions David Cameron expressed his shock at the events which had unfolded.
He said: "The government will do everything it possibly can to help the local community and those affected.
"When lives and communities are suddenly shattered in this way, our thoughts should be with all those caught up with these tragic events."